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<h2>Input Other Deduction for Alex Bonus</h2>
<form id = "form1" action="" method="post">
<div style="font-family:Arial, Helvetica, sans-serif" >
<table>
	<tr>
    	<td>Input Return To WH AD No.</td>
        <td><input type = "text" name = "returnAdNo"  size = "10" /></td>
    </tr>
	<tr>
    	<td>Input Last Cycle Owing</td>
        <td><input type = "text" name = "lastOwe"   value =  "0" size = "10" /></td>
   	</tr>
	<tr>
    	<td>Input Remain Fee</td>
        <td><input type = "text" name = "remainFee"   value =  "0" size = "10" /></td>
    </tr>
</table>
<input type = "hidden" name = "dateBegin" value = "<?php echo $this->dateBegin; ?>" /> 
<input type = "hidden" name = "dateEnd" value = "<?php echo $this->dateEnd; ?>" />
<input type = "submit" name = "exInput" value = "Submit" />


</div>
</form>
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